<p>Bill Gates tells Gideon that a climate of fear has taken hold in the US business community under the Trump administration: “People are afraid to speak out about being afraid to speak out.”&nbsp;He discusses falling aid budgets, why philanthropy cannot replace government funding, and an ambitious new collaboration with OpenAI to improve access to healthcare in Africa.&nbsp;Gates also reflects on the more destabilising uses of artificial intelligence and his past association with the disgraced financier and sex offender Jeffrey Epstein. <em>Clips: NBC4, Bill Gates</em></p><br><p><strong>Free links to read more on this topic: </strong></p><p><a href="https://www.ft.com/content/94e685da-f41d-4625-8585-768d7f901c35?accessToken=zwAAAZygLVhClNOU5oXa9B1GJdOFhXaNf5AcNc9nS3AOdl1E4NO6MBOwxsWr8dOW1lZ19MJLcNOu3i53qGSP6NPj8AZFY-5GntOqCo6CxEJRmgE.MEUCIQDz7anM9z421Fx2hVOJa4TZcYEQDw2KY17NsHNnZCVP8QIgQOEMFH_mZuzoFD8gQKW9f1gpwhjlNht228OaMBvcTog&amp;segmentId=8978e9c0-1eba-4a83-da29-db2c2eaf2e61" rel="noopener noreferrer" target="_blank">Bill Gates and OpenAI back $50mn AI rollout in African health clinics</a></p><p><a href="https://www.ft.com/content/674b700e-765d-44e0-ba30-13b0c6c5abf1?accessToken=zwAAAZygLVhClNOU5oXa9B1GJdOFhXaNf5AcNc9nS3AOdl1E4NO6MBOwxsWr8dOW1lZ19MJLcNOu3i53qGSP6NPj8AZFY-5GntOqCo6CxEJRmgE.MEUCIQDz7anM9z421Fx2hVOJa4TZcYEQDw2KY17NsHNnZCVP8QIgQOEMFH_mZuzoFD8gQKW9f1gpwhjlNht228OaMBvcTog&amp;segmentId=8978e9c0-1eba-4a83-da29-db2c2eaf2e61" rel="noopener noreferrer" target="_blank">Tech titans lined up for Trump’s second inauguration. Now they’re even richer</a></p><p><a href="https://www.ft.com/content/96d65675-f4c2-4b70-aede-2e77a8648fe8?accessToken=zwAAAZygLVhClNOU5oXa9B1GJdOFhXaNf5AcNc9nS3AOdl1E4NO6MBOwxsWr8dOW1lZ19MJLcNOu3i53qGSP6NPj8AZFY-5GntOqCo6CxEJRmgE.MEUCIQDz7anM9z421Fx2hVOJa4TZcYEQDw2KY17NsHNnZCVP8QIgQOEMFH_mZuzoFD8gQKW9f1gpwhjlNht228OaMBvcTog&amp;segmentId=8978e9c0-1eba-4a83-da29-db2c2eaf2e61" rel="noopener noreferrer" target="_blank">Bill Gates and Sergey Brin among newly released Epstein photos</a></p><p><a href="https://www.ft.com/content/e3f00645-63ee-469e-aa0a-8e82c442519a?accessToken=zwAAAZygLVhClNOU5oXa9B1GJdOFhXaNf5AcNc9nS3AOdl1E4NO6MBOwxsWr8dOW1lZ19MJLcNOu3i53qGSP6NPj8AZFY-5GntOqCo6CxEJRmgE.MEUCIQDz7anM9z421Fx2hVOJa4TZcYEQDw2KY17NsHNnZCVP8QIgQOEMFH_mZuzoFD8gQKW9f1gpwhjlNht228OaMBvcTog&amp;segmentId=8978e9c0-1eba-4a83-da29-db2c2eaf2e61" rel="noopener noreferrer" target="_blank">Bill Gates warns aid cuts risk big increase in child deaths</a></p><br><p>Subscribe to The Rachman Review wherever you get your podcasts - please listen, rate and subscribe.</p><p>Presented by Gideon Rachman. Produced by Fiona Symon. Sound design is by Breen Turner and the executive producer is Flo Phillips.</p><p>Follow Gideon on Bluesky or X <a href="https://bsky.app/profile/gideonrachman.bsky.social" rel="noopener noreferrer" target="_blank">@gideonrachman.bsky.social</a>, <a href="https://twitter.com/gideonrachman" rel="noopener noreferrer" target="_blank">@gideonrachman</a></p><br><p><a href="https://www.ft.com/content/fed5fa4c-aed7-4b9d-a1a7-f8703bdb5fdd" rel="noopener noreferrer" target="_blank"><strong>Read a transcript of this episode on FT.com</strong></a></p><hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>